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Description

Week-by-week tracking template For each injection, record the following: Date and time of injection Dose in mg (prescribed amount) Concentration of vial (mg/ml) Units drawn on syringe Injection site (rotate between abdomen, thigh, upper arm) Side effects (none, mild, moderate, severe) Weight (weekly, same scale, same conditions) Notes (food tolerance, energy levels, appetite changes) This data becomes invaluable when making titration decisions with your provider

After Wednesday, April 15 , selfpay patients will pay $199 per month for 4mg doses

Reduces appetite aids weight loss Common Drugs (Examples) Exenatide Liraglutide Dulaglutide Semaglutide Lixisenatide Clinical Uses Type 2 Diabetes Mellitus (as monotherapy or combination) Obesity / weight management (especially semaglutide, liraglutide) Cardiovascular benefit: reduces major adverse CV events in T2DM with CVD Administration Subcutaneous injection (daily or weekly depending on formulation) Oral semaglutide available for some patients Adverse Effects Gastrointestinal: nausea, vomiting, diarrhea Risk of pancreatitis (rare but serious) Mild hypoglycemia if combined with sulfonylureas or insulin Injection site reactions Contraindications / Precautions Personal/family history of medullary thyroid carcinoma History of multiple endocrine neoplasia syndrome type 2 (MEN2) Severe gastrointestinal disease (gastroparesis) GLP-1 agonists = incretin mimetics

It included a box warning regarding the risk of thyroid C-cell tumors with contraindications for patients with: A personal or family history of medullary thyroid carcinoma (MTC) Multiple Endocrine Neoplasia syndrome type 2 Serious hypersensitivity to tirzepatide or any Zepbound excipients Monitoring is encouraged to look for symptoms of thyroid tumors, such as a lump in the neck, unexplained hoarseness, trouble swallowing, and shortness of breath